Dr. Judith Bowen
Topic: What Ever Happened to Aunt Minnie? Exploring the Concept of Diagnostic Closure
Date: November 17, 2010
Time: 12:00pm to 1:30pm (Lunch will be served)
- Diamond Health Care Centre, room 2264
- IRC 305
- CWH 2D22
- MSB 107
- RJH 011
- KGH 237
- NHSC 9-370
Over the past few decades, several forces have changed the nature of the clinical learning environment. Pressure to increase efficiency and reduce costs in the healthcare system resulted in many patients previously hospitalized now being successfully treated as outpatients without harm, and those who are hospitalized spend far less time there. Concerns about medical errors and safety led to resident duty hour restrictions with most residency programs responding by creating shift work for trainees. Little is known about the impact of these factors—discontinuous “shift” work, short lengths of stay for hospitalized patients, and patients with increasingly complex problems presenting in ambulatory settings—on physicians’ development of diagnostic reasoning expertise. Disruption of continuity of care between patients and trainees may have significant negative consequences for knowledge building and reasoning. This presentation will explore the concept of “diagnostic closure” as a critical step for constructing and remodeling illness scripts, and address the role of motivation and deliberate practice with feedback in this context.
Dr. Bowen is Professor of Medicine at the Oregon Health and Science University School of Medicine, Portland, Oregon, and Education Consultant for the Office of Academic Affiliations, Veterans Health Affairs. A Dartmouth Medical School graduate and general internist by training, Dr. Bowen completed a Certificate program in medical education at the University of Washington, Seattle, Washington. In addition to serving as an Internal Medicine residency program director, Dr. Bowen has held several national leadership positions: Council member and director of faculty development for the Association of Program Directors in Internal Medicine; member and chair of the Association of American Medical Colleges Research in Medical Education conference committee; Education Director for the national Academic Chronic Care Collaborative; advisory panel member for the Carnegie Institute ‘Preparation of Physicians’ Professions project; and deputy editor for the Journal of General Internal Medicine and senior deputy editor for two special issues on Education. Dr. Bowen’s scholarship interests include understanding clinical diagnostic reasoning and integrating deliberate practice into medical education. Dr. Bowen has received numerous teaching awards including the national Society of General Internal Medicine award for Scholarship in Medical Education. In 2009, Dr. Bowen received the distinguished Dema C. Daley Founder’s Award from the Association of Program Directors in Internal Medicine.
As an organization accredited to sponsor continuing medical education for physicians by the Committee on Accreditation of Canadian Medical Schools (CACMS), the UBC Division of Continuing Professional Development designates this educational program as meeting the accreditation criteria of the College of Family Physicians of Canada for up to 1.5 Mainpro-M1 credits (per session). This program has been reviewed and approved by UBC Division of Continuing Professional Development. Each physician should claim only those credits he/she actually spent in the activity.
The CHES Research Rounds is a self-approved group learning activity (Section 1) as defined by the Maintenance of Certification program of the Royal College of Physicians and Surgeons of Canada.